CME Questionaire

of the Kuwait Institute for Medical Specialization

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CME Accredited Articles - Volume 2; Number 1: 2003

Readers who submit answers to the questions that accompany the CME articles become eligible for CME/CPD credits in Category 1. Each article carries 1 CME credit point. To claim credit, the reader has to have registration in the CME Program of KIMS, the answers should be received by the CME Center before 31st May 2004, and all the questions related to the article should have been attempted. Those who satisfy the above requirements would receive a certificate from the CME Center indicating the credits gained.

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CME Accredited Articles

After you have completed reading the CME/CPD articles, take the test given below. Check T (True) or F (False) to show the correct answer to each question.

Panic disorder: Review of current status
Abdullah G. Mohammed, Abdulmuttalib Al-Fikki

1.	Panic disorder is one of the least common psychiatric disorders	True False
2.	Patients with panic disorder often have comorbid psychiatric conditions	True False
3.	Dopamine plays an important role in the etiology of panic disorder	True False
4.	Panic symptoms occur exclusively in patients with panic disorder	True False
5.	Symptoms of panic disorder include derealization and depersonalization	True False
6.	SSRIs are the first line of choice in the treatment of panic disorder due to their favorable side effects	True False
7.	Benzodiazepines should be used for a short term because of the risk of dependence	True False
8.	Patients with panic disorder should be thoroughly investigated for medical conditions	True False
9.	Paroxetine is used in the treatment of panic disorder	True False
10.	Effective treatment of panic disorder should continue for 12-24 weeks	True False

Interpretation of liver chemistry tests
Fuad A.M. Hasan, Salim Owyed

11.	ALT greater than 200 iu/L (nml 60) is typical of alcoholic hepatitis	True False
12.	In non-alcoholic steatohepatitis AST to ALT ratio is typically > 1	True False
13.	ALT may be elevated in muscle disease	True False
14.	Most circulating bilirubin in normal individuals is unconjugated	True False
15.	If all RBC are hemolyzed in a patient with normal liver, total bilirubin will not exceed 120 µmol/L	True False
16.	A total bilirubin of 300 µmol/L is typical of common bile duct obstruction by stones	True False
17.	The determination of conjugated versus unconjugated fractions of bilirubin is useful in diagnosing jaundice only if the total bilirubin is less than 120 µmol/L	True False
18.	ALT greater than 1000 iu/L may be observed in patients with Paracetamol overdos	True False
19.	The prothrombin time is a useful liver chemistry test for predicting prognosis of chronic liver disease	True False
20.	Serum alkaline phosphatase may be elevated in viral hepatitis	True False

The immunology of unexplained recurrent spontaneous abortion: cytokines as key mediators
Raj Raghupathy

21.	Th1 and Th2 cells can be distinguished on the basis of the cytokines produced by them	True False
22.	The Th2 cytokines IL-4 and IL-10 appear to have anti-pregnancy effects	True False
23.	Progesterone upregulates the production of the Th1 cytokines interferon-gamma	True False
24.	While Th1 and Th2 cytokines produce different cytokines, their functions are the same	True False
25.	Th1 cells generally induce humoral immune responses, while Th2 cells promote cell-mediated immunity	True False
26.	Anti-phospholipid antibodies account for most of the cases of recurrent spontaneous abortion	True False
27.	Humoral antibody mechanisms are not the main factors underlying unexplained recurrent abortion	True False
28.	Cytokines are cell-surface molecules that mediate adhesion between cells	True False
29.	Cytokines are soluble factors that mediate a whole range of immunological processes	True False
30.	Th1 reactivity is associated with unexplained RSA, while Th2 reactivity is associated with normal pregnancy	True False

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